Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $138.04 / $309.03	Facility	26	$42.66	$138.04	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $181.97	Professional		$89.13	$104.71	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $46.77 / $123.03	Professional	26	$30.20	$46.77	$123.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $117.49 / $309.03	Professional		$45.71	$117.49	$309.03
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $46.77 / $54.95	Professional	26	$33.88	$46.77	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $309.03	Professional		$83.18	$138.04	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $40.74 / $109.65	Professional	26	$32.36	$40.74	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $251.19	Professional		$114.82	$123.03	$251.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $52.48 / $107.15	Professional	26	$50.12	$52.48	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $316.23	Professional		$89.13	$128.82	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $41.69 / $134.90	Professional	26	$27.54	$41.69	$134.90